Provider Demographics
NPI:1518604941
Name:MEANINGFUL DAY BEHAVIORAL, LLC
Entity Type:Organization
Organization Name:MEANINGFUL DAY BEHAVIORAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:JEFFERSON
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:PBSF
Authorized Official - Phone:804-687-1409
Mailing Address - Street 1:12909 COPPERAS LN
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-2226
Mailing Address - Country:US
Mailing Address - Phone:804-687-1409
Mailing Address - Fax:
Practice Address - Street 1:12909 COPPERAS LN
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-2226
Practice Address - Country:US
Practice Address - Phone:804-687-1409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty